A clinical study of HELLP syndrome and its outcome in a tertiary health care system

Ashwini Mallesara; Srushti R. Kanta; Prashanth Shivappa

doi:10.18203/2320-1770.ijrcog20164064

Authors

Ashwini Mallesara Department of Obstetrics and Gynecology, Shivamogga Institute of Medical Sciences, Shivamogga, Karnataka, India
Srushti R. Kanta Department of Obstetrics and Gynecology, Shivamogga Institute of Medical Sciences, Shivamogga, Karnataka, India
Prashanth Shivappa Department of Obstetrics and Gynecology, Shivamogga Institute of Medical Sciences, Shivamogga, Karnataka, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20164064

Keywords:

HELLP Syndrome, Hemolysis, Liver Enzyme, Platelets

Abstract

Background: The objective was to study the cases of HELLP syndrome and its management and outcome in a tertiary health care system.

Methods: Three Hundred Twenty patients with gestational age >20 weeks were selected whose BP recorded more than 140/90 mm Hg. This study was done from July 2014 to July 2016. Required laboratory investigations were carried out and the outcome was studied with respect to maternal and fetal outcome.

Results: The association with HELLP/ Partial HELLP was not significantly associated with the parity and the family history. There was a strong association of HELLP/ Partial HELLP with Pre eclampsia and all the three tests (hemolysis, liver enzymes, platelet count) that was considered to be the gold standard tests to identify the pathology.

Conclusions: The association points towards only one point, that is to identify and treat the patients immediately in order to reduce maternal and neonatal morbidity and mortality.